Three-Dimensional Printed Pediatric Airway Model Improves Novice Learners' Flexible Bronchoscopy Skills With Minimal Direct Teaching From Faculty

DeBoer, Emily M.; Wagner, Janice E.; Kroehl, Miranda; Albietz, Joseph; Shandas, Robin; Deterding, Robin R.; Rustici, Matthew

doi:10.1097/sih.0000000000000290

Cited by 14 publications

(25 citation statements)

References 15 publications

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“… No Hornung A. et al [ 19 ] Bronchoscopy Technical Report Authors looking at footage using rigid and flexible bronchoscopy in water immersion NA NA Using the model immersed in water created a realistic simulation of bronchoscopy in patients by decreasing the light reflection normally seen in plastic models. No Deboer E.M. et al [ 20 ] Bronchoscopy Technical report and RCT Model produced using silicone casing and color-coded lobes for feedback. RCT to determine improvement short and long term.…”

Section: Resultsmentioning

confidence: 99%

“…Therefore, obtaining a model that can be used for frequent practice can be essential and life conserving [ 12 ]. Many of the studies showed that 3DP models were anatomically accurate and matched if not surpassed conventional models in their realism and student preference [ 18 – 20 , 23 , 28 – 32 ]. Moreover, the simulators were able to assess the difference in the proficiency between novices and experts by showing a clear correlation between the scores of the users and the number of years of experience [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

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3D printing in critical care: a narrative review

et al. 2020

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Background 3D printing (3DP) has gained interest in many fields of medicine including cardiology, plastic surgery, and urology due to its versatility, convenience, and low cost. However, critical care medicine, which is abundant with high acuity yet infrequent procedures, has not embraced 3DP as much as others. The discrepancy between the possible training or therapeutic uses of 3DP in critical care and what is currently utilized in other fields needs to be addressed. Objective This narrative literature review describes the uses of 3DP in critical care that have been documented. It also discusses possible future directions based on recent technological advances. Methods A literature search on PubMed was performed using keywords and Mesh terms for 3DP, critical care, and critical care skills. Results Our search found that 3DP use in critical care fell under the major categories of medical education (23 papers), patient care (4 papers) and clinical equipment modification (4 papers). Medical education showed the use of 3DP in bronchoscopy, congenital heart disease, cricothyroidotomy, and medical imaging. On the other hand, patient care papers discussed 3DP use in wound care, personalized splints, and patient monitoring. Clinical equipment modification papers reported the use of 3DP to modify stethoscopes and laryngoscopes to improve their performance. Notably, we found that only 13 of the 31 papers were directly produced or studied by critical care physicians. Conclusion The papers discussed provide examples of the possible utilities of 3DP in critical care. The relative scarcity of papers produced by critical care physicians may indicate barriers to 3DP implementation. However, technological advances such as point-of-care 3DP tools and the increased demand for 3DP during the recent COVID-19 pandemic may change 3DP implementation across the critical care field.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

3D printing in critical care: a narrative review

et al. 2020

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“…This increased from 1 versus 1 (simulator vs control group) pre-study to 6 versus 1.5 poststudy, reflecting an effect size of 1.8 (P < 0.001). 9 Second, 3D printed simulators have discriminatory ability when combined with a validated assessment tool. Steinfort et al evaluated the success rates of three participant groups with high, intermediate and no bronchoscopy experience, in navigating and entering the superior segment of the right upper lobe and anterior segment of the left lower lobe.…”

mentioning

confidence: 99%

“…Furthermore, procedure completion time has also been observed to improve after training with 3D printed bronchoscopy simulators. 7,9,10 The cost of producing 3D printed bronchoscopy models is a distinct advantage over high-fidelity and commercially available low-fidelity simulators. 3D model production costs vary depending on the design complexity, materials used and printing methods.…”

mentioning

confidence: 99%

“…5,7 Using a paediatric bronchoscopy model, DeBoer et al estimated a 40% annualized training cost reduction per trainee when comparing their model to the nearest priced commercially available simulator, suggesting that 3D printed bronchoscopy simulators represent an economically viable method for training. 9 As the field of bronchoscopy and interventional pulmonology evolves, so too must the training in these techniques. With increased sensitivity of radiological imaging and frequency of computed tomography (CT) scanning through lung cancer screening programmes, the incidence of pulmonary anomalies requiring bronchoscopic tissue sampling will also rise.…”

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confidence: 99%

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3D printed airway simulators: Adding a dimension to bronchoscopy training

Leong

2020

Respirology

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Development, implementation, and evaluation of a 3D‐printed high‐fidelity pediatric mannequin with expected hard‐to‐intubate airway

Puggelli,

Mencarelli,

Serio

et al. 2024

Engineering Reports

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Clinical simulation is fundamental for the healthcare staff to learn and enhance their procedural skills without causing harm to the patients. Despite its importance, in literature appears a deficiency of pediatric pathological mannequins, especially those simulating difficult airway management due to the obstruction of the passage of tubes, fiberscopes, or catheters. Given the importance of simulating complex scenarios in the medical staff's training, the authors decided to realize a modular high‐fidelity pathological mannequin with nasal access using reverse engineering and additive manufacturing techniques within T3Ddy, a joint laboratory between Meyer Children's Hospital of Florence and the Department of Industrial Engineering of the University of Florence. The mannequin is developed from diagnostic images of a significant 30‐month‐old polymalformative patient also affected by Pierre‐Robin syndrome modifying the tracheobronchial tree to reproduce an abnormal status. Rigid parts and silicone cast molds are manufactured using 3D‐printed ABS/ASA while platinum‐cure‐silicones are used for the soft ones. Meyer's anesthesiologists collaborated to the realization providing feedback during design and production. The device is evaluated with a 5‐point Likert scale questionnaire and results in a useful tool for the training of procedural skills related to difficult intubation as its realism, anatomical geometry, and tactic feedback are positively evaluated.

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Three-Dimensional Printed Pediatric Airway Model Improves Novice Learners' Flexible Bronchoscopy Skills With Minimal Direct Teaching From Faculty

Cited by 14 publications

References 15 publications

3D printing in critical care: a narrative review

3D printing in critical care: a narrative review

3D printed airway simulators: Adding a dimension to bronchoscopy training

Development, implementation, and evaluation of a 3D‐printed high‐fidelity pediatric mannequin with expected hard‐to‐intubate airway

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